RAUL FERNANDO ROTH M.D.
NPI 1922050525
Internal Medicine - Cardiovascular Disease in Pasadena, CA

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
99.79/100
CMS Quality Rating
625 S FAIR OAKS AVE STE 215, PASADENA, CA 91105(626) 793-4139(626) 793-4324 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2024, Feb 26, 2020 (2 updates tracked since 2020).

About Raul Fernando Roth M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAUL FERNANDO ROTH M.D. (NPI 1922050525) is an individual cardiovascular disease provider in Pasadena, California, licensed in California (G56414) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1983).

NPPES Registry Identity

NPI1922050525
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameRAUL FERNANDO ROTHCredential: M.D.
Location Address625 S FAIR OAKS AVE STE 215Pasadena, CA 91105-2613
Mailing AddressPo Box 80011City Of Industry, CA 91716-8011 · (626) 793-2885 · Fax (626) 793-6262
Fax(626) 793-4324
Sole ProprietorNo
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1983
Enumeration DateMay 16, 2006
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
NPI 1922050525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · G56414
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
625 S FAIR OAKS AVE STE 215, Pasadena, CA 91105

Other Names 1

Professional Name (2)Fernando Roth M.d.

Other Identifiers 1

Medicaid00G564140CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Raul Fernando Roth M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961400601
PECOS Enrollment IDI20100804001183
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 28

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
562 services128 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
490 services457 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
450 services155 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
405 services405 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
298 services186 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
290 services249 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.06
Promoting Interoperability95
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier23 claims23 services$2,279.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105
Nurse Practitioner (Family)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105
Internal Medicine (Cardiovascular Disease)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105
Nurse Practitioner (Primary Care)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105
Nurse Practitioner (Family)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105
Nurse Practitioner (Acute Care)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105
Internal Medicine (Clinical Cardiac Electrophysiology)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105
Internal Medicine (Cardiovascular Disease)
625 S FAIR OAKS AVE STE 215
PASADENA, CA 91105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raul Roth's NPI number?

The NPI number for Raul Roth is 1922050525. It was assigned to this individual provider in the NPPES registry on May 16, 2006. The provider is also known as Fernando Roth M.D..

Where is Raul Roth located?

Raul Roth practices at 625 S Fair Oaks Ave Ste 215, Pasadena, CA 91105. The listed phone number is (626) 793-4139.

What is Raul Roth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Raul Roth enrolled in Medicare?

Yes. Raul Roth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Raul Roth was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.